Individual
MS. REGINA LYNN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3406 ALDER AVE, KAMISH CLINIC, FORT WAINWRIGHT, AK 99703
(907) 353-4126
Mailing address
1513 4TH AVE, FAIRBANKS, AK 99701
(907) 931-9919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
10/09/2024
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